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West Virginia rates for HCPCS L1005

Tension based scoliosis orthosis and accessory pads, includes fitting and adjustment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,944.53 / $1,944.53 / $1,944.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,812.70 / $1,861.02 / $1,944.53
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,520.21 / $5,081.29 / $6,586.86
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,446.55 / $2,714.08 / $4,652.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,326.75 / $2,326.75 / $4,543.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,698.53 / $2,326.75 / $18,495.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,440.49 / $1,877.77 / $3,129.62